Jurnal Kesehatan Masyarakat Perkotaan (e-ISSN 2776-0944 and p-ISSN 2776-0952) was first established in 2021. The journal is managed by the Research and Community Service Institute (LPPM) of Mohammad Husni Thamrin University. The Jurnal Kesehatan Masyarakat Perkotaan published two editions in one year (March and September). This journal accepts articles or scientific paper that focus on health issues. Since 2021, submitted papers must be written in English or Bahasa Indonesia for an initial review stage by editors and further review process by a minimum of two anymous reviewers. Journal Title Initials Frequency DOI ISSN (Print) ISSN (Online) Editor-in-Chief Publisher : Jurnal Kesehatan Masyarakat Perkotaan : JKMP : Biannualy (March and September) : 10.37012 : 2776-0952 : 2776-0944 : Ir. Yohanes Bowo Widodo, M.Kom : LPPM Universitas Mohammad Husni Thamrin
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The Relationship between Individual Factors and Occupational Factors with the Risk of LBP (Low Back Pain) in Workers at the Jakarta Provincial Health Office
According to the World Health Organization (WHO) in 2023, LBP (Low Back Pain) is the number one cause of disability in the world, with 619 million sufferers in 2020 and is estimated to increase to 843 million cases in 2050. LBP is often experienced by workers due to non-ergonomic working positions, long working hours, and repetitive activities. This complaint can be caused by various factors, both identifiable and unidentifiable. This study aims to determine the relationship between individual factors (age and gender) and work factors (work position, work period, work duration, and repetition) with the incidence of LBP in employees of the DKI Jakarta Provincial Health Office in 2025. This study used a cross-sectional design with 63 respondents selected through a total sampling technique. The research instrument was a questionnaire whose validity and reliability had been tested using the Chi-Square test at the 95% level. The results of the study showed that individual factors in the form of age and gender and work factors in the form of work duration were not related to the occurrence of LBP, while work factors in the form of work position, work period, and repetitive activities were related to the occurrence of LBP. Research recommendations include efforts to maintain spinal health by paying attention to body position while working, implementing short stretches at certain hours, the 20-20-20 rule, and the preparation of formal regulations in the form of SOPs, SKPs, or Circular Letters to prevent LBP on an ongoing basis.
Copyright (c) 2025 Savira Aprilia, Ajeng Setianingsih, Neni Herlina Rafida https://creativecommons.org/licenses/by/4.0
Evaluation of Active and Passive Fire Protection Systems and Life-Saving Facilities in the Jakarta Provincial Health Office Building
Fire is a disaster with a high risk of causing casualties and material losses. World Fire is a disaster with a high risk of causing loss of life and material loss. World Fire Statistics (2022) data recorded more than 3.7 million global fires with losses of approximately USD 50 billion per year. Meanwhile, in Indonesia, there were 10,000 cases in 2021 and 1,624 cases in DKI Jakarta in 2022. This condition emphasizes the importance of fire protection systems in public facilities, including the DKI Jakarta Provincial Health Office Building. This study aims to evaluate active and passive fire protection systems, and life-saving facilities based on Ministerial Regulation No. 26 of 2008 and SNI. The method used was descriptive qualitative with observation, interviews, and document review. The results showed that the fire protection system was in place but not functioning optimally. Active protection was ineffective due to damage to the MCFA, which resulted in the inoperability of alarms, detectors, sprinklers, and hydrants. While fire extinguishers functioned but did not meet placement standards. Passive protection was generally appropriate, but there were deficiencies such as materials and partitions that were not certified fire-resistant, cracks in walls, and fire doors without smoke seals. Lifesaving facilities are relatively up to standard, although evacuation routes remain obstructed, emergency exits difficult to use, assembly points unsafe, and lighting and evacuation signs inadequate. Repairs, maintenance, and regular monitoring are recommended to ensure the safety of building occupants.
Copyright (c) 2025 Fitrianisa Hi. Sarmin, Ajeng Setianingsih, Neni Herlina Rafida https://creativecommons.org/licenses/by/4.0
Efficiency of Bed Utilization at Medan Adventist Hospital in 2025
Hospitals are health care institutions that provide comprehensive individual health services that provide inpatient, outpatient, and emergency services. Hospitals are also places to organize health efforts, namely every activity to maintain and improve health and aim to realize optimal health levels for the community. The efficiency of bed use is an indicator that underlies the performance of all hospitals. Efficiency can be used to allocate existing resources to achieve targets more quickly and optimally. BOR is the utilization of beds in a certain time unit. This indicator provides an overview of the high and low levels of bed utilization in hospitals. To Identify the Efficiency of Bed Use in Adventist Hospital. The results of the study on BOR, the BOR value is not ideal as much as 7 (10.7%), the ideal value of BOR obtained a value of 51 (60.75%), the value above the ideal number of BOR obtained a value of 24 (28.6). AVLOS is not ideal 100%, TOI is not ideal 100%. The BTO value shows a value above the ideal number. The value above the ideal number of BTO is 84%. The instrument used in this study uses an observation sheet. The data analysis used in this study was univariate. It is hoped that Medan Advent Hospital will further improve the efficiency of bed utilization in 2025 to ensure proper patient care.
Copyright (c) 2025 bernard julvian zebua, Pomarida Simbolon, Arjuna Ginting https://creativecommons.org/licenses/by/4.0
Implementation of the Dengue Fever Eradication Health Promotion Program at the Simalingkar Community Health Center, Medan Tuntungan District
Health development in Indonesia currently faces dual challenges due to changing epidemiological patterns. Dengue Hemorrhagic Fever (DHF) is an endemic disease that remains a public health challenge, including in Medan Tuntungan District, one of the areas with high DHF cases in Medan City. The Simalingkar Community Health Center faces various obstacles in its efforts to eradicate DHF. The health promotion program implemented includes 3M Plus counseling, Mosquito Nest Eradication (PSN) activities through mutual cooperation, and distribution of larvicide as the main strategy for DHF control. This study aims to analyze the implementation of the health promotion program and identify obstacles to its implementation. The approach used was a qualitative case study design. Data were obtained through interviews, observations, and documentation with 15 informants, consisting of the head of the health center, the P2DBD coordinator, health promotion officers, neighborhood heads, PKK mothers, and the community. The results show that program implementation has been ongoing but is not optimal. 3M Plus counseling is still incidental and not routine. PSN is carried out periodically but with minimal education. Distribution of larvicide is not equitable. Key challenges include unclear program standards, limited resources, and low community participation. The program also focuses more on emergency response than promotion and prevention. Communication between implementers is quite good, but direct engagement with the community still needs improvement. Program implementation needs to be strengthened in terms of planning, resources, citizen participation, and cross-sector support.
Copyright (c) 2025 Luthfiah Khumaira https://creativecommons.org/licenses/by/4.0
Factors Influencing the Incidence of Occupational Contact Dermatitis in Salon Employees in Lamongan District
Occupational Contact Dermatitis (OCD) is a contact dermatitis disease obtained from work, due to the interaction between the skin and substances used in the work environment. These substances irritate the skin, causing damage and stimulating inflammatory reactions, so that skin irritation is the most common cause of dermatitis. Therefore, to find out and understand more deeply about occupational contact dermatitis, especially in hairdressers, it is felt necessary to conduct a study on the factors that influence the incidence of occupational contact dermatitis in salon employees. The purpose of this study was to analyze the factors that influence the incidence of OCD in salon workers in Lamongan District. This research method is qualitative with a cross-sectional design and this research instrument uses the Simple Random Sampling technique and the Slovin formula. The results of this study were processed using the Multiple Logistic Regression statistical test which obtained a p-value <0.05, which means that there is an influence between the length of contact (p-value 0.044) and personal hygiene (p-value 0.033) with the incidence of OCD. There is a significant relationship between contact duration and personal hygiene with the incidence of DKAK among salon workers in Lamongan District. Suggestions for Improvements include conducting regular education, ensuring the presence of supervisors at all work activities, and collaborating with local community health centers regarding periodic skin examinations.
Copyright (c) 2025 Aflahul Lu’lu’ul Muflihah , Zufra Inayah https://creativecommons.org/licenses/by/4.0
Instrument for Measuring Attitudes Toward Anemia Prevention Efforts in Pregnant Women
Anemia in pregnant women is a global health problem, with a prevalence reaching 48.9% in Indonesia according to the 2021 Basic Health Research (Riskesdas), which significantly impacts both the mother and the fetus. Positive attitudes toward anemia prevention have been shown to increase adherence to iron supplementation, but valid and reliable instruments for measuring attitudes are still limited. This study aims to develop a theory-based and psychometric-based instrument for measuring attitudes toward anemia prevention in pregnant women. The study employed a Research and Development (R&D) approach with 30 pregnant women in the PMB (PMB) area of ​​Bekasi, using a 60-item questionnaire with a 4-point Likert scale. Validity was tested using Pearson Product Moment correlation and reliability using Cronbach's Alpha. The results showed that all 60 items were valid with a correlation coefficient of 0.379–0.818 (r table = 0.361) and very high reliability (α = 0.959). The instrument consists of six dimensions: understanding, seriousness of the problem, threat, preventive behavior, healthy hygiene behavior, and anemia management. Pregnant women's attitudes are a form of internal evaluation that reflects knowledge, feelings, and behavioral tendencies towards various aspects of pregnancy, including anemia prevention efforts. This attitude is formed from personal experiences, information obtained, and the influence of the social environment such as family and health workers. Further research recommendations include validation on larger samples and implementation as a screening tool in maternal health programs to increase the effectiveness of anemia prevention.
Copyright (c) 2025 Lini Karlina, Brian Sri Prahastuti, Nur Asni Djaali https://creativecommons.org/licenses/by/4.0
Housewives' Perceptions of Long-Term Contraceptive Methods (LMPs) in Cikahuripan Village
Currently, the use of Long-Term Contraceptive Methods (MKJP) in Indonesia is still very low despite its high level of effectiveness in reducing birth rates and increasing the success of the Family Planning (KB) program. The low use of MKJP indicates differences in perception, knowledge, and social acceptance among women of childbearing age, especially housewives. This study aims to determine the perceptions of housewives towards the use of MKJP in Cikahuripan Village, Klapanunggal District, Bogor Regency. This study used a qualitative approach with an exploratory design through in-depth interviews with seven informants selected purposively on January 13–15, 2025. Data analysis was carried out using thematic analysis techniques according to Braun & Clarke (2006) using source triangulation to increase data validity. The results of the study indicate that housewives' perceptions of MKJP are influenced by internal and external factors. Internal factors include the level of knowledge, previous experience, and motivation from husbands and health workers to minimize side effects. External factors include the influence of the social environment, user testimonials, ease of access to consultations, and the role of social media in promotion. It was concluded that comprehensive education, a persuasive approach, and cross-sector support were able to increase the trust and participation of housewives in choosing MKJP. One of the factors influencing the low use of MKJP is the perception of housewives towards this method.
Copyright (c) 2025 Lini Karlina, Ajeng Tias Endarti https://creativecommons.org/licenses/by/4.0
Analysis of Risk Behavior and Hypertension Prevention in Productive Age Communities in the Work Area of the Tapos Health Center UPTD 2025
Non-communicable diseases (NCDs) such as hypertension are now a major challenge in health development in Indonesia. Hypertension, or high blood pressure, is a chronic condition that occurs when blood pressure in the arteries is persistently elevated and is a major risk factor for heart disease, stroke, and kidney failure. Hypertension is a non-communicable disease that is a major health challenge, especially in the productive age group. The causes of hypertension in the productive age group are diverse, ranging from consumption of foods high in salt and fat, lack of physical activity, smoking habits, and psychological stress due to work pressure. Lack of awareness of early detection and low knowledge about a healthy lifestyle also exacerbate the situation. Lack of knowledge about how to prevent hypertension can influence attitudes towards hypertension prevention. This study aims to analyze risk behaviors and hypertension prevention efforts in the Tapos Community Health Center (Puskesmas) work area. Hypertension is a disease with the highest number of visits, so identifying risk behaviors and appropriate prevention strategies is necessary. This study used a descriptive analytical approach with qualitative methods through observation, interviews, and literature review. Data were obtained from a survey of the productive age population and the 2024 health profile of the Tapos Community Health Center (Puskesmas). Results indicate that poor stress management, unhealthy lifestyles, and low public awareness are the main triggers of hypertension. Control efforts focus on education, promoting a healthy lifestyle, and utilizing traditional herbal remedies (TOGA) as a non-pharmacological therapy.
Copyright (c) 2025 Cici Demiyati, Nadya Darmadi, Septiana Putri Aulia, Siti Oriza Sativa, Tety Hartanti, Xyaqwa Dexta Zyawala, Yosef Dimas Andryanto https://creativecommons.org/licenses/by/4.0
Risk Behavior and Prevention of Type 2 Diabetes Mellitus in Productive Age Groups in the Work Area of the Tapos Community Health Center UPTD
Non-communicable diseases (NCDs) such as stroke, chronic kidney disease, hypertension, and type 2 diabetes mellitus (T2DM) have increased significantly. Type 2 Diabetes Mellitus (T2DM) is a non-communicable disease that has shown a significant increase every year, particularly among the productive age group. Unhealthy lifestyles, lack of physical activity, and low awareness of early detection are the main contributing factors. This study aims to identify risk behaviors and prevention efforts related to T2DM among the productive age population in the working area of UPTD Puskesmas Tapos in 2025. This research employed a descriptive approach through observation, interviews, and literature studies. Primary data were collected through surveys involving 100 respondents of productive age in the Tapos area, while secondary data were obtained from the 2024 Health Profile Report of UPTD Puskesmas Tapos. The results showed that 83.3% of respondents engaged in regular physical activity, but only 62.2% consumed fruits and vegetables consistently. Although 94.4% utilized health services at the public health center, most did not undergo routine health check-ups. Unhealthy eating patterns, insufficient physical activity, and low awareness of routine screening were identified as dominant risk factors. Therefore, continuous health education, promotion of healthy lifestyles, and improved access to screening services are recommended to reduce the prevalence of T2DM among the productive age population.
Copyright (c) 2025 Nina, Amanda Putri Dwi Rahmanti Diponegoro, Intan Dwi Cahya, Mizan Hafidh Al-Hamdy, Nazwa Shakila Alisa Putri, Rafif Dhia Permana, Taqiyatul Basoriyah https://creativecommons.org/licenses/by/4.0
Relationship between Service Quality and BOR (Bed Occupancy Ratio) Value at Medan Adventist Hospital 2025
Background: The creation of service quality will certainly create satisfaction for service users. Service quality is important in health service organizations because it can make the quality of health services efficient. The quality of this service can ultimately provide benefits such as the Bed Occupancy Rate (BOR) value which is very important in assessing the quality of hospital services. Regarding the quality of service carried out using a questionnaire sheet that is categorized as less and good shows the results that the quality of service is in the Good category as many as 21 (60.0%) because patients felt that the service provided by Medan Adventist Hospital was good. The purpose of the study is to identify the Relationship between Service Quality and BOR Value at Medan Adventist Hospital 2025. The sample of this study are 35 respondents with a sampling technique of Quota sampling. The instruments used are questionnaires and Observation sheets. Data analysis with Chi-Square test. The results of this study obtain a good category of service quality for 21 people (60.0%), BOR value above the ideal number of 18 (51.4%). The results of the Chi-Square test obtain a p-value of 0.023 (p <0.05) indicating that there is a relationship between service quality and BOR value at Medan Adventist Hospital in 2025. It is expected that Medan Adventist Hospital will improve the quality of service with BOR value and control and evaluate in order to maintain service quality.
Copyright (c) 2025 Wetty Mayanora Mendrofa, Pomarida Simbolon, Pestaria Saragih, Nasipta Ginting https://creativecommons.org/licenses/by/4.0
Nutritional Status and Knowledge of Mothers Regarding the Incidence of Anemia in Pregnant Women (Systematic Review)
Anemia can be defined as a condition in which the body does not have sufficient red blood cells, even though erythrocytes contain hemoglobin, which is responsible for carrying oxygen throughout the body. Anemia in pregnant women is a significant public health problem in Indonesia. Based on the 2018 Basic Health Research (Riskesdas), the prevalence of anemia in pregnant women reached 48.9%, indicating a high health burden due to this condition. This study aims to analyze the relationship between nutritional status and maternal knowledge levels with the incidence of anemia in pregnant women. The research method used a systematic review with a literature search in the PubMed and Google Scholar databases for the period 2019-2024 using keywords related to nutritional status, maternal knowledge, and anemia. Of the total 4,520 publications obtained, 13 relevant articles were systematically selected, based on inclusion and exclusion criteria. The review results showed a significant relationship between nutritional status and the incidence of anemia in pregnant women (p<0.05), where mothers with poor nutritional status were at higher risk of developing anemia. In addition, maternal knowledge levels also showed a significant relationship with the incidence of anemia (p<0.05), where insufficient knowledge increased the risk of anemia. This study concludes that maternal nutritional status and knowledge are two important factors that are interrelated in determining the risk of anemia in pregnant women, so efforts are needed to increase nutrition and health education to reduce the prevalence of anemia in pregnant women in Indonesia.
Copyright (c) 2025 Lini Karlina, Lilis Heri Mis Cicih https://creativecommons.org/licenses/by/4.0
The Relation of Food Taboo, Diet Patern and Anaemia Among Pregnant Women in Puskesmas Cipayung
Anemia is a global public health problem. The prevalence of anemia in pregnant women in Indonesia reaches 27.7%, while anemia in third-trimester pregnant women at the Cipayung Community Health Center in January–May 2025 was recorded at 14.35%. Several factors influence the incidence of anemia in pregnant women, including sociocultural factors, diet, income, and knowledge. A good diet for pregnant women should include sources of carbohydrates, protein, fat, vitamins, and minerals, tailored to the needs of the pregnancy. This study aims to determine the risk factors for anemia in pregnant women due to the influence of cultural taboos and dietary patterns. This study design uses a quantitative analytical method with a cross-sectional approach. This study was conducted in July 2025, the population was pregnant women who underwent ANC examinations at the Cipayung Community Health Center with a sample of 105 respondents. Data analysis of this study began with univariate data analysis, simple correlation tests, using the Chi-square method and subsequent analysis using multiple logistic regression tests. The results of the multivariate analysis study showed that the cultural variables of food taboos (p.value = 0.003 with OR 5.569), dietary patterns (p.value = 0.043 with OR 2.759) were associated with the incidence of anemia in pregnant women, nutritional adequacy (p = 0.003; OR = 5.113) was associated with the incidence of anemia. Suggestions for education to be carried out in the 20-35 year age group about dietary patterns and cultural food taboos.
Copyright (c) 2025 Brian Sri Prahastuti, Siti Jumhati, Reni Meilani https://creativecommons.org/licenses/by/4.0
The Effectiveness of the Snakes and Ladders Game in Improving Knowledge, Attitudes, and Behavior in Preventing Anemia in Adolescent Girls
Anemia among adolescent girls remains a significant public health concern, with a prevalence of 36% in Sukabumi District in 2024. The main contributing factors include iron deficiency, unbalanced dietary patterns, and limited nutritional knowledge. Engaging educational interventions are urgently needed to improve adherence to anemia prevention programs, particularly iron supplementation, free health screenings for adolescents, and the Free Nutritious Meal initiative. This study examined the effectiveness of a modified snakes-and-ladders–based educational game incorporating anemia-related content. A quasi-experimental quantitative design with a two-group pretest–posttest approach was employed, involving 80 adolescent girls in 2025. Data analysis utilized normality testing (skewness), paired t-tests, independent t-tests, and the N-Gain test. The mean knowledge score increased by 2.3 points, attitude score by 3.3 points, and behavior score by 2.4 points. Paired t-test results in the intervention group showed significant improvements in knowledge (p = 0.001), attitudes (p = 0.001), and behaviors (p = 0.001) before and after the intervention. Similarly, the control group demonstrated differences in knowledge (p = 0.001), attitudes (p = 0.001), and behaviors (p = 0.001) over time. Post-intervention independent t-tests indicated significant differences between the intervention and control groups in knowledge (p = 0.001), attitudes (p = 0.001), and behaviors (p = 0.001). The N-Gain analysis revealed an average score of 58,4% (moderately effective) in the intervention group and 23% (ineffective) in the control group. These findings indicate that the educational snakes-and-ladders game is moderately effective in enhancing knowledge, attitudes, and behaviors related to anemia prevention. It is recommended that the Health and Education Offices integrate this game into extracurricular programs and school-based health checks as a complementary strategy to the Free Nutritious Meal initiative.
Copyright (c) 2025 Brian Sri Prahastuti, Siti Jumhati, Ai Lela Kurnia https://creativecommons.org/licenses/by/4.0
Validity and Reliability of the Physical Activity Questionnaire for Older Children (PAQ-C) and Adolescent Sedentary Activities Questionnaire (ASAQ)
Physical activity and sedentary behavior are two key factors influencing children’s nutritional status, particularly in relation to overweight and obesity. Measuring these aspects requires instruments that are both valid and reliable within the Indonesian cultural context. Objective: This study aimed to assess the validity and reliability of the Indonesian versions of the Physical Activity Questionnaire for Older Children (PAQ-C) and the Adolescent Sedentary Activities Questionnaire (ASAQ) among elementary school students. Methods: The study involved 96 fifth-grade students from a private elementary school in Jakarta using translated versions of PAQ-C and ASAQ. Validity was tested using the Pearson Product Moment correlation, while reliability was examined using Cronbach’s Alpha. Results: Of the nine PAQ-C items, eight were found to be valid (r = 0.212–0.666 > r-table = 0.1689), while one item was invalid (r = 0.042). The Cronbach’s Alpha value of 0.718 indicated good internal reliability. For ASAQ, six out of eleven items were valid, with a relatively low reliability (Cronbach’s Alpha = 0.413). Recommendation: It is recommended to modify the PAQ-C with minor adjustments to the types of sports activities to better reflect the local context of Indonesian children, and to revise the ASAQ through cultural and technological adaptation, simplification of overlapping items, and improvement of the administration procedure to better capture the sedentary behavior of Indonesian children today.
Copyright (c) 2025 Hesti Riana Anggraini, Ajeng Tias Endarti, Brian Sri Prahastuti https://creativecommons.org/licenses/by/4.0
The Relationship between Knowledge and Length of Service of Nurses with Attitudes towards Patient Safety at Oto Iskandar Regional Hospital in Nata, Bandung 2025
Hospitals are important institutions in providing health services to the community with the main task of providing curative (healing) and preventive (preventive) services. Curative services focus on the diagnosis, treatment, and care of patients, while preventive services aim to prevent the emergence of diseases through vaccination and education on healthy lifestyles. Patient safety is an important aspect in health services that guarantee patient safety and prevent unexpected events. Nurses as primary health workers play a very important role in the implementation of patient safety. To determine the relationship between knowledge and length of service of nurses with attitudes towards patient safety in the Inpatient Installation of Oto Iskandar Hospital in Nata Bandung. The study used a quantitative approach with a cross-sectional design, involving 94 nurses as respondents. Statistical analysis showed that there was a significant relationship between knowledge and attitudes of nurses (p = 0.000, OR = 11.8), as well as between length of service and attitudes of nurses (p = 0.003, OR = 4.1). In addition, demographic factors such as gender and age also contribute to variations in nurses' attitudes. The research model explained 63% of the variation in attitudes towards patient safety. Hospitals need to strengthen training and supervision, especially for nurses with less than 5 years of service. Further research is recommended to examine the implementation of patient safety more comprehensively to continuously improve service quality and patient safety. The research findings are expected to serve as a basis for strengthening training, supervision, and a culture of patient safety in hospitals to reduce incidents and improve service quality.
Copyright (c) 2025 Dede Sri Megawati, Titi Indriyati, Brian Sri Prahastuti https://creativecommons.org/licenses/by/4.0
Factors Associated with Mortality at Harapan Kita Hospital (RSAB Harapan Kita) Secondary Data for 2024
Neonatal mortality remains a key public health indicator in Indonesia and represents a serious challenge in achieving the Sustainable Development Goals (SDGs). Although Jakarta has the lowest infant mortality rate compared to other provinces, the number of neonatal deaths at national referral hospitals like Harapan Kita Hospital remains quite high. Based on 2024 data, 220 deaths were recorded out of 1,634 births, with the main causes including low birth weight (LBW), asphyxia, prematurity, and infection. This situation highlights the importance of examining risk factors for both mothers and infants in neonatal mortality, particularly at Harapan Kita Hospital, Jakarta. The research method used a quantitative approach with a retrospective case-control study design. Secondary data were obtained from maternal and infant medical records from January to December 2024. The study sample consisted of 94 respondents, consisting of 47 cases (neonatal deaths) and 47 controls (infants living >28 days or dying after >28 days), selected using a purposive sampling technique. Data analysis used univariate analysis and bivariate analysis with chi-square tests. The study showed that maternal factors associated with neonatal mortality were maternal nutritional status (p=0.021), type of delivery (p=0.014), and parity (p=0.037). Infant factors associated with neonatal mortality included low birth weight (p=0.000), prematurity (p=0.012), birth asphyxia (p=0.000), neonatal infection (p=0.001), and congenital abnormalities (p=0.018). Harapan Kita Jakarta Hospital needs to strengthen the referral system and coordination between hospitals, optimize the quality of antenatal care services, and improve human resource competency through training and workshops specifically for handling high-risk infants.
Copyright (c) 2025 Nurhasanah, Titi Indriyati, Brian Sri Prahastuti https://creativecommons.org/licenses/by/4.0
Balanced Nutrition Education as an Effort to Prevent Malnutrition in Toddlers at the Budi Luhur I Integrated Health Post (Posyandu)
Introduction One of the simplest and most effective ways to prevent malnutrition in toddlers is by implementing a balanced nutrition pattern from an early age. Balanced nutrition plays an important role in supporting children’s growth and development, as well as enhancing their immune systems. However, many mothers of toddlers still lack understanding of the principles of balanced nutrition, including the appropriate proportions of carbohydrates, proteins, fats, vitamins, and minerals according to children’s needs. Therefore, nutrition education activities were conducted for mothers of toddlers at the Halim Perdanakusuma Posyandu. Method The activity was carried out through interactive health education sessions with mothers of toddlers at the Halim Perdanakusuma Posyandu. The materials covered principles of balanced nutrition, the importance of providing nutritious food, and the prevention of malnutrition. Evaluation was conducted using pre-test and post-test assessments to measure participants’ knowledge improvement after the educational session.Results Before the education session, most participants (10 out of 15) had moderate knowledge about balanced nutrition, and 5 participants had low knowledge. After the session, all participants (15 out of 15) demonstrated improved understanding, with post-test scores categorized as good (70–100). In addition, participants were able to mention examples of balanced menus appropriate for toddlers’ age and nutritional needs.Conclusion:Balanced nutrition education was proven effective in increasing mothers’ knowledge about the importance of applying balanced nutrition to prevent malnutrition in children. Continuous education and regular mentoring by Posyandu cadres are necessary to ensure the implementation of balanced nutrition practices in daily life. Recommendation: Regular nutrition education and comprehensive monitoring of toddlers’ nutritional status by health workers and Posyandu cadres are recommended.
Copyright (c) 2025 Putri Adelia Cahaya, Diyah Chadaryanti https://creativecommons.org/licenses/by/4.0
The Relationship Between Credentials and SOP Compliance with the Performance of Other Health Workers at Balaraja Regional Hospital
According to data from the Balaraja Regional Hospital's quality subcommittee, there has been a decline in the performance of other healthcare workers, including miscommunication, lack of patient information, errors in medication inventory records, and inadequate staffing to handle certain medical devices or procedures. This can significantly impact the overall quality of healthcare services provided to patients. Aims To determine the relationship between credentials and compliance with SOP on the performance of other healthcare workers at Balaraja Regional Hospital. This type of research is an observational analytic with a cross-sectional approach. The sample of this study was 115 non-medical and non-nursing personnel at Balaraja Regional Hospital. The sampling technique used a stratified random sampling method. Data were analyzed bivariately using the chi-square test and multivariate analysis using multiple logistic regression. There is a significant relationship between credentials variables and the performance of other healthcare workers after being controlled by education with a p value of 0.004 (p < α 0.05) and there is a significant relationship between compliance with SO0P on the performance of other healthcare workers after being controlled by education with a p value of 0.020 (p < α 0.05). Based on the characteristics of the respondents, most were female, aged >35 years and had a Bachelor's degree. Most respondents performed well, and had competent credential assessments and complied with Standard Operating Procedures. There was a significant relationship between the credential variable and the performance of other health workers at Balaraja Regional Hospital after being controlled by education. It was also known that there was a significant relationship between the SOP compliance variable and the performance of other health workers at Balaraja Regional Hospital after being controlled by education. The most dominant variable related to the performance of other health workers at Balaraja Regional Hospital was credentials. Improve the credential system by adjusting the instrument and credential planning according to competency development, maintaining a credential sub-committee that assesses competency objectively by training credential assessors. Conduct regular socialization of SOP, provide clear, concise, and easy-to-understand SOP.
Copyright (c) 2025 Sutanto, Nur Asniati Djaali, Siti Jumhati https://creativecommons.org/licenses/by/4.0
Factors Associated with Patient Satisfaction at Kalideres Community Health Center, West Jakarta
Marketing strategies are used to ensure business success, including in the healthcare sector, which now faces intense competition among hospitals, clinics, and community health centers. Community health centers, as the primary government healthcare facilities, play a crucial role in providing first-level services. Patient satisfaction is a key indicator of service quality in primary healthcare facilities, including community health centers (puskesmas). Preliminary observations at Kalideres Community Health Center, West Jakarta, showed a satisfaction level of 77.8%, although complaints regarding waiting time, facility completeness, and cleanliness were still reported. Sociodemographic factors, BPJS insurance membership, and visit frequency may influence patients’ perceptions and expectations of healthcare services. This study aimed to analyze factors associated with patient satisfaction at Kalideres Community Health Center. A quantitative approach with a cross-sectional design was used. The sample consisted of 100 patients selected through non-probability incidental sampling. Data were collected using a structured questionnaire and analyzed through univariate, bivariate, and multivariate methods. Bivariate analysis showed that monthly income (p=0.005; OR=3.840; CI 1.55–9.55) and visit frequency (p=0.000; OR=11.806; CI 4.17–33.41) were significantly associated with patient satisfaction. Multivariate analysis produced a Nagelkerke R² of 0.317, identifying employment status (p=0.038; OR=2.872), income (p=0.037; OR=0.282), and visit frequency (p=0.000; OR=0.138) as significant predictors. Visit frequency was the most dominant factor influencing satisfaction. These findings recommend optimizing BPJS administrative processes, strengthening patient education regarding the benefits of regular visits, enhancing satisfaction monitoring, and improving communication quality and service delivery to support sustained patient satisfaction.
Copyright (c) 2025 Yeni Padmini Krestanti, Ajeng Tias Endarti, Nur Asniati Djaali https://creativecommons.org/licenses/by/4.0
Factors Influencing the Incidence of Neonatal Sepsis In the Neonatal Intensive Care Unit, Budhi Asih Regional Hospital
Neonatal sepsis remains a major health problem in Indonesia, with a prevalence of 8–15% in referral hospitals and contributing to the second leading cause of infant mortality after asphyxia (Ministry of Health of the Republic of Indonesia, 2022). Risk factors influencing the incidence of neonatal sepsis include prematurity, low birth weight (LBW), gender, and invasive procedures. At Budhi Asih Regional Hospital, Jakarta, the incidence of neonatal sepsis in 2024 was recorded at 46.69% of 272 NICU patients. Therefore, this study was conducted to determine the factors influencing the incidence of neonatal sepsis in the NICU of Budhi Asih Regional Hospital, Jakarta. This study used a quantitative cross-sectional design. The study population was all infants treated in the NICU of Budhi Asih Regional Hospital from January to December 2024. A sample of 80 infants was selected using a purposive sampling technique. The independent variables were gestational age, gender, birth weight, and invasive procedures, while the dependent variable was the incidence of neonatal sepsis. The research instrument was medical record data analyzed using the Chi-square test at a 95% confidence level. Gestational Age: Infants with gestational age <37 weeks experienced more neonatal sepsis than full-term infants (p<0.05). Low Birth Weight (<2500 gr) was significantly associated with the incidence of neonatal sepsis (p<0.05). Gender: There was no significant association between gender and the incidence of neonatal sepsis (p>0.05). Invasive Procedures: Infants who underwent invasive procedures were at higher risk of neonatal sepsis (p<0.05). Factors associated with the incidence of neonatal sepsis in the NICU of Budhi Asih Hospital, Jakarta were gestational age, low birth weight, and invasive procedures. Gender was not associated with the incidence of neonatal sepsis. Prevention of neonatal sepsis needs to be focused on close monitoring of premature infants, LBW, and infection control related to invasive procedures in the NICU.
Copyright (c) 2025 Helena Golang Nuhan, Mirawati https://creativecommons.org/licenses/by/4.0
The Relationship Between Workload and Work-Life Balance and Job Satisfaction of Employees at PT. X Medan
In the era of globalization, increasingly fierce business competition requires companies to have competent and high-performing human resources. Job satisfaction is a crucial aspect in the workplace that influences productivity and employee well-being, where excessive workload and imbalance in work-life balance can impact job satisfaction. This study aims to analyze the relationship between workload and work-life balance on employee job satisfaction at PT.X Medan. This study used a quantitative approach with a cross-sectional design. The sampling technique used purposive sampling of 50 employees from the Engineering and Processing Division. The data were analyzed using Pearson's correlation test Product Moment test. The results of the study indicate a very strong and significant negative relationship between workload and job satisfaction (r = -0.977), meaning that as workload increases, job satisfaction tends to decrease. Conversely, there is a very strong and significant positive correlation between work-life balance and job satisfaction (r = 0.958), indicating that the better the work-life balance, the higher the job satisfaction. These results confirm that high workload and poor work-life balance are associated with a decrease in employee job satisfaction. Therefore, evaluating and redistributing workload more proportionally, as well as implementing policies that support work-life balance for employees, are important for improving overall job satisfaction.
Copyright (c) 2025 Khairunnisa Effendi, Fatma Indriani https://creativecommons.org/licenses/by/4.0
The Relationship Between Knowledge and Family Support with the Quality of Life of Chronic Kidney Failure Patients Undergoing Hemodialysis at Byahangkara Hospital, Level 1, National Police Health Center
Background: Chronic kidney failure is one of the 12 leading causes of death worldwide. Chronic kidney disease (CKD) is a condition in which kidney function begins to decline progressively over months or even years. Chronic kidney disease (CKD) is closely related to degenerative processes resulting from damage to the body's organs. Degenerative diseases associated with an increased incidence of CKD include diabetes mellitus, hypertension, and coronary heart disease. Chronic kidney disease (CKD) is a progressive and irreversible renal dysfunction that causes uremia, requiring hemodialysis to maintain life. This is related to knowledge and family support in improving the quality of life of chronic kidney disease patients undergoing hemodialysis. Objective: To determine the relationship between knowledge and family support in chronic kidney disease patients undergoing hemodialysis at Bhayangkara Hospital, Class I, Indonesian National Police Health Center. Method: This study was quantitative with a cross-sectional approach. The sample size was 40 people, with a total sampling technique, and the data were tested using chi-square. Results: The results showed a relationship between knowledge and family support with quality of life with a p-value of 0.012 and a p-value of 0.002. Conclusion: There is a relationship between knowledge and family support with quality of life in chronic kidney disease patients undergoing hemodialysis at Bhayangkara Hospital, Class I, Indonesian National Police Health Center.
Copyright (c) 2025 Martha Katarina Silalahi, Anastasia Hardayati, Ilah Muhafilah, Suwarningsih, Khansa Nabila Asmarani https://creativecommons.org/licenses/by/4.0
Validity and Reliability Test of the WHOQOL-HIV BREF Instrument on PLHIV in Bandar Lampung City in 2025
Quality of life (QoL) is an essential indicator for assessing the physical, psychological, social, and spiritual well-being of People Living with HIV (PLHIV). For people living with HIV (PLHIV), this concept is particularly important because HIV infection is chronic and requires long-term therapy, which carries various clinical and psychosocial consequences. The impact of HIV is not only related to physiological changes but also emotional and social problems caused by societal stigma and discrimination. Measuring the quality of life of people living with HIV requires valid, reliable instruments that accurately reflect the patient's condition. The WHOQOL-HIV BREF is an instrument developed by the World Health Organization to measure QoL among PLHIV across six main domains. This study aimed to evaluate the validity and reliability of the Indonesian version of WHOQOL-HIV BREF among PLHIV in Bandar Lampung City in 2025. A cross-sectional design was employed, using purposive sampling to recruit PLHIV who met the inclusion criteria. The Indonesian version of WHOQOL-HIV BREF was administered as the research instrument. Validity testing was conducted using item-total correlation analysis, while reliability testing employed Cronbach’s Alpha coefficient. The results showed that all 31 items of the WHOQOL-HIV BREF were valid (r‑calculated > r‑table 0.349), indicating that the instrument is suitable for assessing the quality of life of PLHIV. These findings provide a strong basis for the implementation of WHOQOL-HIV BREF in clinical practice, research, and health program planning for PLHIV at the local level..
Copyright (c) 2025 Brian Sri Prahastuti, Ajeng Tias Endarti, M Halfani Solikhin https://creativecommons.org/licenses/by/4.0
Measuring the Dietary Diversity of Pregnant Women in the Warunggunung Community Health Center Work Area
Pregnancy is a critical period that requires optimal nutritional intake to support maternal health and fetal growth and development. Inadequate nutritional intake can lead to various health problems such as anemia, chronic energy deficiency (CED), low birth weight (LBW), impaired brain development, and the risk of other pregnancy complications. Unbalanced and low-diversity food consumption patterns can increase the risk of anemia, chronic energy deficiency, and other pregnancy complications. This study aims to describe the nutritional adequacy and dietary diversity of pregnant women in the Warunggunung Community Health Center working area based on the percentage of the Recommended Dietary Allowance (RDA). The study used a quantitative descriptive design with data collection through a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) and intake analysis using NutriSurvey. The results showed that most micronutrients such as vitamin A, vitamin B complex, and vitamin C were met, while energy and magnesium sufficiency were still low in the majority of respondents. The distribution of dietary diversity showed that 54.7% of pregnant women were in the good category, while 45.3% had not achieved adequate dietary diversity. These findings underscore the importance of interventions to improve dietary patterns through nutrition education, increased access to nutritious food, and ongoing nutritional status monitoring. Efforts to improve the diet quality of pregnant women are essential to support maternal and fetal health and prevent the risk of pregnancy complications.
Copyright (c) 2025 Brian Sri Prahastuti, Lilis Heri Mis Cicih, Neng Susilawati https://creativecommons.org/licenses/by/4.0
The Influence of Workload on Work Motivation of Health Workers at the Sukatani Community Health Center in Purwakarta
Health workers who are less motivated to work will show less than optimal performance, characterized by higher levels of fatigue, decreased work discipline, and decreased concern for service quality. Often the lack of motivation is caused by things such as lack of opportunities for career development, inadequate compensation, excessive workload, and lack of appreciation for performance. To determine the effect of workload on the work motivation of health workers at the Sukatani Health Center in Purwakarta. This study uses a quantitative research method with a cross-sectional approach. The sampling technique uses a total sampling method of 60 health workers at the Sukatani Health Center in Purwakarta. Bivariate analysis uses the chi-square test and multivariate analysis uses multiple logistic regression. Based on the Chi-square test, the P value is 0.000 <0.05, which indicates that there is a significant influence between workload on the motivation of health workers at the Sukatani Health Center with an Odd Ratio (OR) value of 13. The results of the multiple logistic regression test obtained the largest result of 63.865 which indicates that the variable number of positions as the most dominant confounder factor influences workload on work motivation. Health center management should develop policy plans that can reduce workload and increase employee motivation by managing time wisely to help reduce stress, conducting open discussions in finding solutions together with task division and target adjustments, delegating tasks and integrating activities to increase efficiency, ensuring adequate rest to avoid physical and mental fatigue, optimizing the use of existing systems to reduce manual workload, providing regular training on occupational safety (K3).
Copyright (c) 2025 Rina Marliana, Nur Asniati Djaali, Ajeng Tias Endarti https://creativecommons.org/licenses/by/4.0
The Relationship Between Literacy About the JKN System and Outpatient Satisfaction at the Bungursari Community Health Center, Purwakarta Regency
Low levels of patient satisfaction can negatively affect the quality of health care facilities, particularly at the primary care level such as community health centers (puskesmas). One of the factors influencing patient satisfaction is the limited level of patient literacy regarding the National Health Insurance (Jaminan Kesehatan Nasional—JKN) system. Insufficient understanding of patients’ rights, procedures, and service pathways may lead to misunderstandings, dissatisfaction, and even negative perceptions of service quality. This condition poses a challenge for Puskesmas Bungursari, Purwakarta, which is a primary health care facility with a high patient visit rate. This study aimed to determine the relationship between literacy regarding the JKN system and patient satisfaction at Puskesmas Bungursari, Purwakarta Regency. A quantitative study with a cross-sectional design was conducted. The study population consisted of 1,431 individuals, with a sample size of 257 respondents. The sampling technique used was non-probability sampling with an accidental sampling approach. The research instruments were literacy and satisfaction questionnaires that had been tested for validity. Statistical analysis included the chi-square test and multivariate analysis using multiple logistic regression. The results showed a significant relationship between literacy and patient satisfaction at Puskesmas Bungursari, Purwakarta Regency (p-value < 0.001), with an odds ratio of 13.084. Furthermore, literacy remained significantly associated with patient satisfaction (p-value < 0.001) after controlling for the employment variable (p-value = 0.019). To improve patient satisfaction at puskesmas, efforts should focus on enhancing health literacy through the use of visual strategies and effective communication, as well as improving the quality of empathetic services that include attentive listening to patient complaints and fair treatment.
Copyright (c) 2025 Rina Marlina, Ajeng Tias Endarti, Nur Asniati Djaali https://creativecommons.org/licenses/by/4.0